Team approach concept in management of oro-facial clefts: A survey of Nigerian practitioners

被引:7
作者
Akinmoladun V.I. [1 ]
Obimakinde O.S. [1 ,2 ]
机构
[1] Department of Oral and Maxillofacial Surgery, University College Hospital, Ibadan
[2] Department of Oral and Maxillofacial Surgery, University College Hospital, Ibadan
关键词
Speech Pathologist; Interdisciplinary Care; Cleft Patient; Pharyngeal Flap; Socio Cultural Belief;
D O I
10.1186/1746-160X-5-11
中图分类号
学科分类号
摘要
Background. Cleft palate craniofacial teams have evolved across the globe in the last 20 years in compliance with the interdisciplinary concept of management of oro-facial clefts. An interdisciplinary care allows a coordinated treatment protocol for the patient. The objective of this study was to evaluate oro-facial cleft care in Nigeria with particular emphasis on the compliance of the practitioners to the team approach concept. Methods. A snapshot survey was conducted among specialists that attended the Pan African Congress on Cleft Lip and Palate, at the International Institute of Tropical Agriculture, Nigeria in February 2007. Result. Sixty three respondents successfully completed and returned the questionnaire for analysis. Mean age of respondents was 43.5 years and the range was 3862 years. Male to female ratio was 2.7:1. Oral and Maxillofacial Surgeons and Plastic Surgeons constituted the majority of respondents (38.1% and 22.2%) respectively. Only 47.6% (n = 30) of the specialists belonged to cleft teams. Majority of Oral and Maxillofacial Surgeons and Plastic Surgeons belonged to cleft teams (70% and 63.3% respectively) while speech pathologists and orthodontists were less represented (20% and 36.7% respectively) in teams. Conclusion. Findings from this study suggests that interdisciplinary care for the cleft patient does not appear to have been fully embraced in Nigeria. This may be a result of several reasons ranging from non availability of the requisite specialists, the relatively young age of cleft care practice in this part of the world to the poor state of infrastructure. © 2009 Akinmoladun and Obimakinde; licensee BioMed Central Ltd.
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